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目的:探讨连续性肾脏替代治疗对急性重症胰腺炎的时机的选择。方法:2010年10月～2011年10月大庆油田总医院ICU患重症胰腺炎住院病例36例,在常规治疗的基础上加用CRRT,观察患者的生命体征、中心静脉压、尿量、肝功、肾功、血常规、电解质、血气、28天生存率等指标。结果:行CRRT组酸中毒、尿量恢复快,28天生存率明显上升。结论:常规治疗加CRRT组能明显改善SAP的预后,尤其是未出现急性肾损伤的早期治疗效果更佳。
Objective: To investigate the timing of continuous renal replacement therapy for acute severe pancreatitis. Methods: From October 2010 to October 2011, 36 patients with severe pancreatitis in ICU of Daqing Oilfield General Hospital were treated with CRRT on the basis of routine treatment. The vital signs, central venous pressure, urine output and liver function , Kidney function, blood, electrolytes, blood gas, 28-day survival rate and other indicators. Results: CRRT group acidosis, urine output quickly restored, 28-day survival rate increased significantly. CONCLUSION: Conventional treatment plus CRRT can significantly improve the prognosis of SAP, especially in the early stage of treatment without acute renal injury.